JaeLynn Williams

The CMS 2026 Proposed Rule is here—and it’s not just another policy update. It’s a signal of where value-based care is heading next. Expanded MVPs, tighter scoring rules, major interoperability mandates, and the potential sunset of traditional MIPS all point to a healthcare landscape that’s getting more data-driven, more outcomes-focused, and more complex. In our latest webinar, Senior VP of Product & Analytics Miranda Stork helps you decode the 2026 Proposed Rule and what it means for every stakeholder in the quality ecosystem. You’ll learn: - What CMS is prioritizing in 2026 - How MVPs will affect specialty reporting and payment pathways - How to align your internal processes before requirements become mandates If you’re responsible for regulatory strategy, quality performance, or clinical operations, this is one session you can’t afford to miss. Watch the full webinar on demand: https://hubs.ly/Q03Fkz0C0

3

CMS didn’t design RHT to fund technology. It designed RHT to fund operating change. RHT dollars are meant to support rural systems that can: • Redesign access points • Rebalance workforce capacity • Coordinate care beyond the hospital walls • Demonstrate measurable, repeatable outcomes That’s why many rural organizations struggle: Because transformation requires clinical execution, operational ownership, and compliance discipline at the same time. Through Psynergy®’s partnership with Andor Health, rural systems gain a single execution model that aligns virtual care, clinician capacity, and CMS-ready reporting under one structure. RHT rewards systems that can run differently, not just buy differently. If your RHT strategy depends on more pilots, it may be time to rethink execution. #CMSRHT #RuralHealthLeadership #Psynergy

10

IHCI ACO Demonstrates Success of Value-Based Care Model Indianapolis, IN — The Innovative Healthcare Collaborative of Indiana (IHCI), a joint venture operated by Community Health Network and Deaconess Health Systems, operates a Medicare Shared Savings Program (MSSP) known as IHCI ACO. Through this program, IHCI and its partners care for more than 49,000 Medicare beneficiaries across Indiana, Kentucky, and Illinois tri-state region and Central Indiana. According to newly released federal performance data, IHCI ACO successfully met Medicare’s quality and cost goals in 2024—resulting in significant savings for taxpayers while improving care for patients. IHCI ACO ranked in the top 25% of all 476 MSSP ACOs nationwide for quality performance in 2024. Medicare measures ACO performance on a range of indicators, from preventive screenings and electronic health record use to reducing avoidable hospitalizations. In addition to strong quality scores, IHCI ACO achieved meaningful cost savings, which will be reinvested in population health initiatives that further benefit patients. “By working together through an ACO, we can deliver higher-quality care at lower cost while preserving patient choice,” said Dr. James Porter of Deaconess Health System and Dr. Patrick McGill of Community Health Network. “ACOs like ours are proving that value-based care improves outcomes, saves Medicare dollars, and strengthens our health system.” IHCI ACO initiatives include: ·       Increasing Medicare beneficiaries’ use of annual wellness visits, screenings, and preventive care. ·       Ensuring smooth transitions of care when patients move from the hospital to home or to a skilled nursing facility. ·       Sharing best practices among clinicians and specialists to improve outcomes and reduce unnecessary hospitalizations. Accountable Care Organizations (ACOs) represent a market-based solution to fragmented, costly care. By aligning incentives, the MSSP empowers local physicians, hospitals, and other providers to collaborate in improving quality, enhancing patient experience, and keeping care affordable. More National ACOs than ever earned shared savings in 2024, underscoring the program’s growing success. For additional resources, including a fact sheet on MSSP ACOs and “What is an ACO?”, visit the Centers for Medicare & Medicaid Services website. About IHCI ACO IHCI ACO provides the operations needed to support value-based care and specific population health efforts. The primary goals are to identify best practices for population health in collaboration with the participants, create strategies for deploying solutions, and support participants with people, process and tools needed for ACO patient populations. To learn more about our ACO, visit us at: https://lnkd.in/gj4cu8uS

15

Autonomous coding and CDI (3/3): Too often, coders and physicians find themselves at odds. Unclear documentation and generic queries lead to back-and-forth, creating administrative burden, wasted time, and frustration on both sides. Arintra reduces this friction by giving coders and physicians a shared, explainable view of documentation gaps, linked to payer rules and revenue impact. The result: fewer disputes, lesser overhead and better documentation to support the highest compliant level of coding. In case you missed my earlier 2 posts in this series, click here: https://lnkd.in/gYBH-FdR https://lnkd.in/guVy-R_k #revenueassurance #arintra #cdi

15

Is your digital health strategy strengthening rural systems—or quietly draining them? The Executive Quick Start Guide outlines how to build rural first regional digital health networks that: ✅ Expand specialty access without exporting patients ✅ Use telehealth, eConsults, and RPM with clear escalation rules ✅ Align multiple organizations around shared outcomes Designed for leaders responsible for regional alignment, not one-off pilots. 📘 Explore the guide https://lnkd.in/gNTPnxMn #RegionalHealth #HealthcareStrategy #RuralHospitals #Telehealth #PopulationHealth #DigitalHealth #RuralHealth #HealthcareLeadership #eConsults #RemotePatientMonitoring #SpecialtyCareAccess

5

It had to be said! 🎯 Epic's stranglehold on healthcare IT has stifled innovation for too long and the writing is on the wall. The consolidation myth needs to die already. We were promised efficiency and lower costs, but what we got was bloated bureaucracies that prioritize profits over patients. The data doesn't lie: smaller, agile providers consistently outperform these healthcare monopolies on both outcomes and patient satisfaction. Time for a major reset in how we think about healthcare delivery.

9

Healthcare organizations continue to invest in CDI - yet many are still losing millions due to documentation gaps. Rethinking CDI Investments: Four Questions Healthcare Leaders Can’t Afford to Ignore March 19, 2026 at 12 APM CT / 1 PM ET This ClinIntell webinar explores why traditional CDI programs often fail to demonstrate real ROI and introduces four critical questions leaders should ask before approving any documentation initiative. Designed for executives and physician leaders looking for a more accountable framework for governing CDI investments. Register here: https://lnkd.in/eHWhUrvz

12

Healthcare capital does not operate in isolation. It moves in alignment with policy, regulation, and execution discipline. At eCap Summit 2026, conversations with FHA leadership reinforced an important reality for healthcare operators: Structured capital strategy must anticipate regulatory direction — not react to it. In today’s environment, HUD-insured executions, bridge-to-HUD strategies, and long-term healthcare real estate planning require more than access to capital. They require alignment. At Capital Stack Advisors, we remain actively engaged in the policy conversations shaping skilled nursing, assisted living, behavioral health, and memory care capital markets. Because when strategy aligns with policy, execution becomes seamless. Where Capital Strategy Meets Execution. Connect With Us. #HealthcareCapital #HUD232 #HealthcareRealEstate

5

CMS has launched 50+ payment models in the last decade. Most never scaled beyond pilot. ACCESS is a 10-year national model healthcare leaders can't ignore. Here's the 4-step breakdown ↓ 𝟭/ 𝗣𝗿𝗼𝗯𝗹𝗲𝗺: People with Original Medicare have limited access to technology-supported care for managing chronic conditions. Previous models tied reimbursement to specific activities, time thresholds, and documentation requirements, not to whether the patient's condition actually improved. The result: fragmented workflows, siloed data, and care teams optimizing for compliance rather than outcomes. 𝟮/ 𝗦𝗼𝗹𝘂𝘁𝗶𝗼𝗻: ACCESS emphasizes outcomes over activities. Instead of rewarding utilization management or paying for minutes of service, it ties payment to actual clinical improvement: blood pressure reduction, HbA1c levels, PHQ-9 depression scores. 𝟯/ 𝗢𝘂𝘁𝗰𝗼𝗺𝗲𝘀: These metrics improve when you have visibility into what's happening between visits and the infrastructure to act on it. Patients get more options to meet their health goals. Providers gain new partners to co-manage care. Medicare gets a path to pay for technology-supported services. 𝟰/ 𝗦𝘁𝗿𝗮𝘁𝗲𝗴𝘆: Consistent workflows. Proactive outreach. Real-time data capture. That's what gives teams the capacity to deliver better care and what ACCESS is designed to reward. When no one falls through the cracks, outcomes improve. ACCESS aligns payment with that reality.

49

14 Comments